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Montana rates for HCPCS 21700

Division of scalenus anticus; without resection of cervical rib

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $616.60 / $741.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $616.60 / $741.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $602.56 / $831.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $489.78 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $707.95